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Organization

LDS FAMILY SERVICES

Active
Parent organization
LDS FAMILY SERVICES
Other names
LDS Family Services ID Boise
Organization subpart
Yes

Provider details

NPI number
Legal business name
LDS FAMILY SERVICES
Authorized official
MS. LORI D. THROCKMORTON LCSW (DIRECTOR)
(208) 376-0191
Entity
Organization

Contact information

Practice address
10740 W FAIRVIEW AVE, SUITE 100, BOISE, ID 83713-7926
(208) 376-0191
(208) 658-6299
Mailing address
10740 W FAIRVIEW AVE, SUITE 100, BOISE, ID 83713-7926
(208) 376-0191
(208) 658-6299

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/11/2007
Last updated
06/04/2008
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